Effects of disposable incision protector on prevention of incision infection after hepatectomy in patients with hepatolithiasis
10.3760/cma.j.cn115682-20200529-03635
- VernacularTitle:一次性切口保护器预防肝内胆管结石肝切除患者术后切口感染的效果
- Author:
Chaoying QI
1
;
Xiaofang CHEN
;
Pengfei PAN
;
Liufang HUANG
;
Fengqiu GONG
Author Information
1. 中山大学附属第一医院手术室，广州 510080
- Keywords:
Hepatectomy;
Postoperative complications;
Hepatolithiasis;
Incision protection;
Incision infection
- From:
Chinese Journal of Modern Nursing
2021;27(3):350-354
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the preventive effect of disposable incision protector on incision infection in patients with hepatolithiasis after open hepatectomy.Methods:A retrospective collection of patients with hepatolithiasis who underwent open hepatectomy with a disposable incision protector from January 2015 to December 2018 in the First Affiliated Hospital of Sun Yat-sen University was used as the intervention group. At the same time, patients with hepatolithiasis who did not use the incision protector to undergo partial hepatectomy from January 2012 and December 2014 were collected as the control group. Propensity matching analysis was used to reduce case selection bias and incidences of postoperative incision infection between the two groups were compared before and after matching.Results:In the primary cohort, there were 245 patients in the intervention group and 201 patients in the control group. Patients in the intervention group were younger than those of the control group ( P<0.05) . The proportion of patients with a history of biliary tract surgery in the intervention group was lower than that of the control group, and the operation time was shorter than that of the control group (all P<0.05) . The incidence of incision infection in the intervention group before matching was 5.7% (14/245) , lower than 15.9% in the control group (32/201) , and the difference was statistically significant (χ 2=4.436, P=0.035) . After propensity matching, 165 pairs of patients were generated, there were 165 patients in each group. There was no statistically significant difference in clinical baseline variables between the two groups ( P>0.05) . In the matching cohort, the incidence of incision infection in the intervention group was 7.9% (13/165) , which was lower than 15.2% (25/165) in the control group, and the difference was statistically significant (χ 2=4.283, P=0.039) . Conclusions:The disposable incision protector can effectively prevent postoperative incision infection in patients undergoing open hepatectomy for hepatolithiasis.
